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Another option is to use cadaveric fresh frozen cartilage to prevent another donor site for you. There are certain surgeons who are very experienced in fusing this type of cartilage and also doing revisions. I would recommend seeing a board-certified plastic surgeon (with a 6 year integrated plastic surgery residency and The Aesthetic Society accredited aesthetic fellowship) for a consultation. I would recommend a physical exam in person to further evaluate what is going on with the nose.
To have rib already harvested from both sides, and then need more, is really unusual. Have you had second and third opinions about what to do, what's needed, what the chances are of significant improvement, what the alternatives are? If you are happy that your doctor is a true expert and he recommends another rib, then if you trust him to perform what sounds like an extremely complicated operation, you should trust his advice on how to get the cartilage that he needs. Acquiring the cartilage is probably much simpler than whatever is planned for your nose. If you're very concerned, ask him about the pros and cons and alternatives (such as banked cartilage) in his hands; he'll probably have good answers.
Cartilage serves to maintain structural integrity in places in the body, especially areas where some flexibility is preferable to rigidity. There are no noted specific complications due to harvesting cartilage per se.Rib cartilage is one of the more abundant sources for reconstructive purposes.Best,Mats Hagstrom MD
Second revision surgeries are going to be complex, and generally speaking, having good visual access is going to be in the surgeons favor. Ultimately, it’s the surgeons choice of how they do the procedure. Having access generally makes the procedure easier so I would probably recommend an open a...
I usually say to wait 12-24 months before making a final decision on a rhinoplasty. This may be even longer after a revision case (sometimes up to 5 years) because the lymphatics have been disrupted/injured twice. This also depends on what was actually done in both surgeries. I would just follow...
To make an assessment regarding the outcome of a plastic surgery procedure we generally need to see a complete set of proper before and after pictures. Without seeing your outcome, it’s hard to give you an assessment. I suggest scheduling a few in person second opinion consultations to get a m...
Your post makes it uncertain how many facial procedures you’ve had but it sounds like you’ve had at least three facelifts. To make an assessment on the outcome of a plastic surgery procedure, we generally need to see a complete set of proper before and after pictures. If you don’t have befor...
It’s a little difficult to understand what your concerns are based on your post. Considering you’ve had multiple procedures your situation is a bit complex. Septoplasty is going to be limited to how much of the septum can be addressed through a septoplasty. The skeletal part of the septum can...
When someone has the complaint that the nose is too narrow, we look to see what else might not be right about the nose, because correcting those other things my partially or completely correct the narrowness at the same time. Photos, as you can imagine, would be critical in making an assessment....